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1073939831
ANDREA FORTES
TUSTIN, CA
NPI
1073939831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 53450)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
-- ANDREA FORTES DDS
1076 E 1ST ST SUITE E
TUSTIN, CA 92780-3852
Phone number: 714-838-5454
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Mailing Address
-- ANDREA FORTES DDS
1076 E 1ST ST SUITE E
TUSTIN, CA 92780-3852
Phone number: 714-838-5454
Copy
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